NUR 634 Midterm 50 Exam Updated Study
Guide Questions and Answers (2026) |
Focused Revision Pack | Grade A+
Blood in the eye. What are some questions you'd like to ask? -✓✓Recent trauma,
double vision, OPQRST, nausea (Dx: subconjunctival hemorrhage from retching)
What is a normal finding of visual changes as we age? -✓✓Presbyopia
What is the order of exam for a new patient? -✓✓a. Introduction
b. Chief complaint
c. HPI
d. Dx/plan
e. Summarize
If I had a person ask me as I was palpating their lymph nodes, why their lymph nodes
get large, what would your answer be? -✓✓B Cell proliferation, which makes more cells,
hence enlargement
Which lymph nodes sit just behind the sternocleidomastoid? -✓✓Posterior cervical chain
A patient comes in with really vague overall muscle complaints, fatigue with no accident
or mechanism of injury, what is something that is really important to screen for? -
✓✓Depression
If a patient has double vision with one eye covered? Which cranial nerve are you
concerned about? -✓✓Cranial Nerve III
A patient that comes in with elbow pain that is worse on the right and pain when she
extends her wrist, what would you suspect? -✓✓a. Medial epicondylitis (Golfer's elbow)
b. Tennis elbow presents with pain and tenderness experienced on the outside of the
elbow, while golfer's elbow can be felt on the inside of your elbow and down the arm.
Pt has a lump that requires an I&D and it has a very "cheesy" substance that comes
out. You will document that you just removed what? -✓✓A sebaceous cyst.
If a patient has a cup to disc ratio of 1:2, then what is happening? -✓✓Flatter disc, so
less likely to be a glaucoma suspect
What is your #1 DDx if I say I have chest pain that is sharp, right over my sternum -
✓✓Angina
, What is the main cause of Angina? -✓✓Atherosclerosis
If you have a patient with sudden, non-painful loss of vision, what would you suspect? -
✓✓Retinal detachment
If you have a patient with painful loss of vision in one eye, what would you suspect -
✓✓optic Neuritis
The tender point between the two tendons at the base of the thumb (the snuff box area),
we relate that to what type of fracture? -✓✓Scaphoid fracture
What are the landmarks for PMI (point of maximal impulse)? -✓✓a. the bony point of
your sternum
b. the 5th intercostal spaces
c. the midclavicular line (7-9 cm lateral to the sternum)
a patient has pain while chewing, but only on one side of the face. What are some DDx?
-✓✓TMJ
A young girl comes in experiencing sudden hair loss, what are some DDx -✓✓a.
Alopecia
b. Hypothyroid
Overwhelming sadness for several months, with lots of bouts of crying, loss of
interest...what do you suspect? -✓✓Major Depressive Disorder
A patient with a history of cirrhosis with tenderness in the epigastric area and blood on
his rectal exam, black stools; we would suspect what? -✓✓Esophageal varices
When I'm doing an eye exam on a patient and I've got blurred disc margins, what are
some DDx? -✓✓a. MS
b. Meningitis
Patient has a uvula deviation; you would suspect a lesion on which cranial nerve -✓✓a.
Cranial nerve 10
A patient has a small pea size mass under the skin that is easily moveable; what do you
think it is? -✓✓Lymph node
What is the medical term for a stye? -✓✓Hordeolum
A patient with lupus who comes in with a dark red raised rash on her legs or trunk; what
do you suspect? -✓✓That is related to her lupus and is an expected finding
Guide Questions and Answers (2026) |
Focused Revision Pack | Grade A+
Blood in the eye. What are some questions you'd like to ask? -✓✓Recent trauma,
double vision, OPQRST, nausea (Dx: subconjunctival hemorrhage from retching)
What is a normal finding of visual changes as we age? -✓✓Presbyopia
What is the order of exam for a new patient? -✓✓a. Introduction
b. Chief complaint
c. HPI
d. Dx/plan
e. Summarize
If I had a person ask me as I was palpating their lymph nodes, why their lymph nodes
get large, what would your answer be? -✓✓B Cell proliferation, which makes more cells,
hence enlargement
Which lymph nodes sit just behind the sternocleidomastoid? -✓✓Posterior cervical chain
A patient comes in with really vague overall muscle complaints, fatigue with no accident
or mechanism of injury, what is something that is really important to screen for? -
✓✓Depression
If a patient has double vision with one eye covered? Which cranial nerve are you
concerned about? -✓✓Cranial Nerve III
A patient that comes in with elbow pain that is worse on the right and pain when she
extends her wrist, what would you suspect? -✓✓a. Medial epicondylitis (Golfer's elbow)
b. Tennis elbow presents with pain and tenderness experienced on the outside of the
elbow, while golfer's elbow can be felt on the inside of your elbow and down the arm.
Pt has a lump that requires an I&D and it has a very "cheesy" substance that comes
out. You will document that you just removed what? -✓✓A sebaceous cyst.
If a patient has a cup to disc ratio of 1:2, then what is happening? -✓✓Flatter disc, so
less likely to be a glaucoma suspect
What is your #1 DDx if I say I have chest pain that is sharp, right over my sternum -
✓✓Angina
, What is the main cause of Angina? -✓✓Atherosclerosis
If you have a patient with sudden, non-painful loss of vision, what would you suspect? -
✓✓Retinal detachment
If you have a patient with painful loss of vision in one eye, what would you suspect -
✓✓optic Neuritis
The tender point between the two tendons at the base of the thumb (the snuff box area),
we relate that to what type of fracture? -✓✓Scaphoid fracture
What are the landmarks for PMI (point of maximal impulse)? -✓✓a. the bony point of
your sternum
b. the 5th intercostal spaces
c. the midclavicular line (7-9 cm lateral to the sternum)
a patient has pain while chewing, but only on one side of the face. What are some DDx?
-✓✓TMJ
A young girl comes in experiencing sudden hair loss, what are some DDx -✓✓a.
Alopecia
b. Hypothyroid
Overwhelming sadness for several months, with lots of bouts of crying, loss of
interest...what do you suspect? -✓✓Major Depressive Disorder
A patient with a history of cirrhosis with tenderness in the epigastric area and blood on
his rectal exam, black stools; we would suspect what? -✓✓Esophageal varices
When I'm doing an eye exam on a patient and I've got blurred disc margins, what are
some DDx? -✓✓a. MS
b. Meningitis
Patient has a uvula deviation; you would suspect a lesion on which cranial nerve -✓✓a.
Cranial nerve 10
A patient has a small pea size mass under the skin that is easily moveable; what do you
think it is? -✓✓Lymph node
What is the medical term for a stye? -✓✓Hordeolum
A patient with lupus who comes in with a dark red raised rash on her legs or trunk; what
do you suspect? -✓✓That is related to her lupus and is an expected finding
